Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972062495 Individual Practitioner Male Practitioner

Shane Jordan

Behavior Analyst • Vienna, VA

Professional Overview & Biography Verified Profile Summary

Shane Jordan is a registered healthcare professional specializing in Behavior Analyst in Vienna, VA. Practice services are available at 8230 LEESBURG PIKE STE 740 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8230 Leesburg Pike Ste 740

Vienna, VA 221822641

Telephone 8775044141
Associated Practice Facility / Clinic
🏢 Mps Healthcare Inc Facility NPI 1689638488

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Vienna, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Vienna, VA (2797 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-23-66606

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ariel Henderson , RBT

Behavior Technician

NPI 1003539453

Registered Behavior Technician

Renee Lopez

Behavior Technician

NPI 1003772013
Dineth Ferdinando

Behavior Technician

NPI 1003785155
Brandi Tippett

Behavior Technician

NPI 1023737335
Margaret Mary Mcgovern

Behavior Technician

NPI 1023900149
Ava Mueller

Behavior Technician

NPI 1023940590

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 12, 2024

Registered at 8230 LEESBURG PIKE STE 740, VIENNA, VA 221822641 (Tel: 8775044141)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2024

Behavior Analyst (License #1-23-66606 in None)

📍
Updated Practice Location September 26, 2023

Registered at 1325 S STATE ST, DOVER, DE 199014945 (Tel: 8335215230)

📍
Updated Business Mailing Address September 26, 2023

Registered at 1325 S STATE ST, DOVER, DE 199014945

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2023

Behavior Analyst

NPI Profile Active March 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2019

Registered at 1819 E SPRINGFIELD AVE STE H, SPOKANE, WA 992022954 (Tel: 5099995657)

📍
Updated Business Mailing Address March 14, 2019

Registered at 1819 E SPRINGFIELD AVE STE H, SPOKANE, WA 992022954 (Tel: 5099995657)

👤
Provider Name / Credentials Updated March 14, 2019

Recorded as SHANE JORDAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972062495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2019
Last Update: October 12, 2024
Sole Proprietor: No

Mailing Address

1325 S State St

Dover, DE 199014945

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.